Perceptions of evidence-based programs among community-based organizations tackling health disparities: a qualitative study
Perceptions of evidence-based programs among community-based organizations tackling health disparities: a qualitative study
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DOI：
10.1093/her/cyr088
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发表时间：
2012-08-01
影响因子：
2.4
通讯作者：
Viswanath, Kasisomayajula
中科院分区：
文献类型：
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作者：
Ramanadhan, Shoba;Crisostomo, Josephine;Viswanath, Kasisomayajula
从研究到社区环境传播以预防为重点的循证计划（EBP）可能会改善人口健康并减少健康差距，但这种流动是有限的。采用社区参与性研究原则的学术-社区伙伴关系可支持向社区组织更多地传播循证基础知识。这一定性研究审查了社区组织针对得不到充分服务的人口的与改善就业方案有关的看法和需要。2008年，作为CBPR研究的一部分，我们在波士顿、伍斯特和马萨诸塞州的劳伦斯对社区领袖和CBO工作人员进行了六次关键的线人访谈。CBO工作人员对EBP的工作定义与研究人员或资助者使用的典型定义有很大差异。使用EBP的主要障碍包括：资源限制，计划适应挑战和与组织文化的冲突。EBP使用的重要促进因素包括：对实施和适应的计划支持，合作技术援助和使用既定计划的感知效益。这项探索性研究突出了关键利益相关者之间关于证据在项目规划和交付中的作用的差异。一个更新的观点应该更好地纳入CBO的观点，证据和地方更大的，非常需要的，强调环境的影响，在社区环境中的EBP传播。
Dissemination of prevention-focused evidence-based programs (EBPs) from research to community settings may improve population health and reduce health disparities, but such flow has been limited. Academic-community partnerships using community-based participatory research (CBPR) principles may support increased dissemination of EBPs to community-based organizations (CBOs). This qualitative study examined the EBP-related perceptions and needs of CBOs targeting underserved populations. As part of PLANET MassCONECT, a CBPR study, we conducted six key informant interviews with community leaders and four focus groups with CBO staff members in Boston, Worcester and Lawrence, Massachusetts, in 2008. Working definitions of EBPs among CBO staff members varied greatly from typical definitions used by researchers or funders. Key barriers to using EBPs included: resource constraints, program adaptation challenges and conflicts with organizational culture. Important facilitators of EBP usage included: program supports for implementation and adaptation, collaborative technical assistance and perceived benefits of using established programs. This exploratory study highlights differences among key stakeholders regarding the role of evidence in program planning and delivery. An updated perspective should better incorporate CBO perspectives on evidence and place greater, and much needed, emphasis on the impact of context for EBP dissemination in community settings.